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Dilantin Toxicity
I showed up to a facility mid afternoon and just caught the charge nurse as she was heading out early for the day. She asked me to take a look at this specific resident as she felt that her...
Methadone Use
Last night of Narcweek! Hope you all enjoyed it! Methadone is a drug you may see once in a while for treatment of pain. There are definitely some prescribers that are more comfortable using this...
Ultram (tramadol)
Another opioid (or is it an opioid?) is Ultram (tramadol). This medication is frequently used for various types of pain and may or may not be a controlled substance based upon your location. It...
Morphine Dosing & Tolerance
We’re are going to continue on the theme of opioids because this is Narcweek, it’s what we do. I do have more info/stories on Fentanyl, but I think they’re going to have to wait for another time…I...
Why Don’t Younger People Get Vaccinated?
I just wanted to cover a question that I get asked from time to time. My real world thoughts on vaccines: It certainly is a controversial topic and people have seriously strong opinions about this...
Fentanyl Patch Dose Titration and Potential Overdose
One other quick point that I can follow up on is that fentanyl takes a long time to ramp up, which also means that it takes a little while to get to a steady state of concentration. What does this...
Fentanyl FAQ’s
So much info on Fentanyl and I will do one more night after tonight on Fentanyl and I will transition to some other opioid info. A very frequent question I get asked is can you put things over the...
Fentanyl Patches for Acute Pain
Fentanyl patches are easy to use…just slap it on right? I definitely see nurses ask for these patches fairly frequently, and they are much easier for administration and less time consuming than oral...
Fentanyl Patches Can Be Extremely Dangerous!
Happy Veteran’s day! Narcweek begins now, thanks for all the support! I’m still seeing problems and questions on Duragesic (fentanyl) patches out there, so hopefully I can bring some examples over...
Lexapro Case and Antipsychotic Use
In just one more example of the prescribing cascade, I had a resident at a nursing home that was prescribed Lexapro for depressive and anxiety type symptoms. A few weeks after starting this...
Study Materials For Pharmacists
